Provider Demographics
NPI:1235483801
Name:TRADER, MAUSUMI A (CRNA)
Entity Type:Individual
Prefix:
First Name:MAUSUMI
Middle Name:A
Last Name:TRADER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:MAUSUMI
Other - Middle Name:A
Other - Last Name:MAJUMDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:2 READS WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-1607
Mailing Address - Country:US
Mailing Address - Phone:302-709-4709
Mailing Address - Fax:302-709-4551
Practice Address - Street 1:2 READS WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-1607
Practice Address - Country:US
Practice Address - Phone:302-709-4709
Practice Address - Fax:302-709-4551
Is Sole Proprietor?:No
Enumeration Date:2012-11-05
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR11520400367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered